title: [Barriers upon providing assistance with making arrangements for discharging and changing from hospitals while a patient is undergoing cancer therapy--when he is in the state of depression (from the perspective of psycho- oncologist)].
abstract: During a cancer therapy, a fine-tuned response is necessary for a patient to stay home with family for a longer period of time. Especially the patient is near the end of life. Based on the Basic Plan to Promote Cancer Control programs, our hospital established a cancer consulting support center and a palliative care team in June 2009, and staffed them with multidisciplinary personnel. With medical staffs involved as a team, we considered a shared decision making repeatedly in compliance with inpatient 's wishes for home care. One of the problems the author experienced frequently was that a patient would take a long time for a decision making due to the state of mental depression. Hence, we simply couldn't send him home, or we would fail to make a right timing for sending him home. Due to a patient's inability to make own decision, a home care period could not be shortened, so that a careful daily observation is desired to keep an eye for signs of depression and to provide appropriate responses.
authors.affiliation: Dept. of Psychiatry, Sapporo Medical Center NTT EC.
authors.forename: Hideo
authors.initials: H
authors.lastname: Takayanagi
authors.forename: Nahomi
authors.initials: N
authors.lastname: Motokawa
authors.forename: Kenta
authors.initials: K
authors.lastname: Takahashi
authors.forename: Kazue
authors.initials: K
authors.lastname: Hanawa
authors.forename: Tomoko
authors.initials: T
authors.lastname: Kimura
mesh_terms: D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D010351:Patient Discharge; D010360:Patient Transfer; D012307:Risk Factors